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Related Experiment Video

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Assessment of Age-related Changes in Cognitive Functions Using EmoCogMeter, a Novel Tablet-computer Based Approach
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Published on: February 14, 2014

Are effort measures sensitive to cognitive impairment?

Pamelia F Willis1, Thomas J Farrer, Erin D Bigler

  • 1Department of Behavioral Medicine, Brooke Army Medical Center, ATTN: MCHE BM, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234-6200, USA.

Military Medicine
|February 18, 2012
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Summary

Symptom validity tests (SVTs) may inaccurately flag cognitive impairment as poor effort. This study shows that genuine memory deficits, not just poor effort, can cause failure on the Word Memory Test (WMT).

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Area of Science:

  • Neuropsychology
  • Cognitive Science

Background:

  • Symptom validity tests (SVTs) are designed to assess genuine effort in cognitive assessments.
  • SVTs are presumed insensitive to cognitive impairments, suggesting failure indicates poor effort or exaggeration.

Observation:

  • This study presents three cases where patients failed the Word Memory Test (WMT), a verbal recognition SVT.
  • One patient with early dementia failed the WMT, fitting a 'Genuine Memory Impaired Profile'.
  • Two patients with mild traumatic brain injury also failed the WMT, with performance suggesting cognitive deficits influenced results.

Findings:

  • Failure on the Word Memory Test (WMT) may not solely reflect poor effort.
  • Cognitive impairments, such as dementia or mild traumatic brain injury deficits, can lead to SVT failure.

Implications:

  • Neuropsychological examiners should consider potential cognitive impairments when interpreting SVT results.
  • Using multiple indicators of effort is recommended to ensure accurate assessment of test data validity.